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Individual

ROBERT JOHN CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 PROFESSIONAL PLZ, STARKVILLE, MS 39759-1900
(662) 323-0999
(662) 324-0250
Mailing address
5 PROFESSIONAL PLZ, STARKVILLE, MS 39759-1900
(662) 323-0999
(662) 324-0250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
00015992
AL
208000000X
Pediatrics Physician
Primary
12954
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00114934
MS
01
09015837
GROUP MEDICAID NUMBER
MS
Enumeration date
08/11/2006
Last updated
11/02/2011
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